Organization
CHILDREN'S DENTAL PLACE OF EAST BOCA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH HERMAN (DENTIST)
(954) 849-4143
Entity
Organization
Contact information
Practice address
509 NE 20TH ST, BOCA RATON, FL 33431-8141
(954) 849-4143
Mailing address
509 NE 20TH ST, BOCA RATON, FL 33431-8141
(954) 849-4143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075515000
—
FL
Enumeration date
05/02/2012
Last updated
05/02/2012
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